Social Class Inequalities in Self-rated Health and Their Gender and Age Group Differences in Japan
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概要
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BACKGROUND: Few studies have examined social inequalities in self-rated health in Japan, and the issue of gender differences related to social inequalities in self-rated health remains inconclusive.METHODS: The data derived from interviews with 2987 randomly selected Japanese adults in four prefectures in Japan who completed the cross-national World Mental Health survey from 2002 through 2005. We calculated odds ratios (ORs) of having poor self-rated physical and mental health by two social class indicators independently with multivariate logistic regression models, adjusted for age, gender, marital status, and area. Stratified analyses by gender and age group were also conducted.RESULTS: The adjusted ORs of the lowest educational attainment category having poor self-rated physical and mental health were 1.42 (95% confidence interval [CI]: 1.15-1.76) and 1.37 (95% CI: 1.10-1.70), respectively. Among females, educational attainment had significant linear associations with selfrated physical and mental health. Adjusted household income was also significantly associated with self-rated physical health among female respondents. No associations were found among males. While educational attainment was associated with self-rated health among the young age group, adjusted household income was associated with self-rated physical health in the middle and old age group.CONCLUSION: These results indicated social inequalities in self-rated health and prominent social inequalities in self-rated health among females in Japan. Social inequalities in self-rated health seemed to exist across age groups. However, the mechanism of social inequalities in self-rated health could be different depending on the age group.J Epidemiol 2006; 16: 223-232.
- 日本疫学会の論文
- 2006-11-01
著者
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Nakamura Yosikazu
Department of Public Health, Jichi Medical University
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WATANABE Makoto
Department of Preventive Cardiology, National Cardiovascular Center
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NAKAMURA Yosikazu
Jichi Medical School
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Nakamura Yosikazu
岡山大学 医歯薬学総合研究科衛生学･予防医学
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KAWAKAMI Norito
Department of Mental Health, Tokyo University Graduate School of Medicine
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Kawakami Norito
Department Of Mental Health Department Of Psychiatric Nursing Tokyo University Graduate School Of Me
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Kawakami Norito
岡山大学 医歯学総合研究科衛生学・予防医学
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Ono Yutaka
Health Center Keio University
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Honjo Kaori
Social And Environmental Medicine Osaka University Graduate School Of Medicine
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FURUKAWA TOSHIAKI
Department of Psychiatry, Nagoya City University Medical School
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Watanabe Makoto
Department Of Cardiology Hirai Hospital
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Nakamura Yosikazu
Department Of Health Science Division Of Epidemiology And Community Health Jichi Medical School
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Nakane Yoshibumi
Division Of Human Sociology Nagasaki International University Graduate School
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Uda Hidenori
Sensatsu Public Health Center
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TAKESHIMA Tadashi
National Institute of Mental Health, National Center of Neurology and Psychiatry
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Kawakami N
Department Of Public Health Okayama University School Of Medicine
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Nakane Hideyuki
Division Of Neuropsychiatry Department Of Translational Medical Sciences Nagasaki University Graduat
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TACHIMORI Hisateru
National Institute of Mental Health, National Center for Neurology and Psychiatry
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HATA Yukihiro
Oshima Hospital
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IWATA Noboru
Faculty of Human and Social Environment, Hiroshima International University
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KIKKAWA Takehiko
Chubu Gakuin University
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Iwata Noboru
Faculty Of Human And Social Environment Hiroshima International University
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Furukawa Toshiaki
Department Of Psychiatry And Cognitive-behavioral Medicine Nagoya City University Graduate School Of
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Takeshima Tadashi
National Institute Of Mental Health National Center For Neurology And Psychiatry
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Tachimori Hisateru
National Institute Of Mental Health National Center For Neurology And Psychiatry
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Watanabe Makoto
Department Of Cardiology Anjo Kosei Hospital
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Kawakami Norito
Department Of Hygiene And Preventive Medicine Okayama University Graduate School Of Medicine And Den
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Watanabe Makoto
Department Of Analytical Chemistry Of Medicines. Showa Pharmaceutical University
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Nakamura Yosikazu
Dep. Of Public Health Jichi Medical Univ.
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Watanabe Makoto
Department of Analytical Chemistry of Medicines, Showa Pharmaceutical University
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